MENTAL HEALTH EXAM 2

The nurse should include which information in the medication teaching plan for a client diagnosed with schizophrenia? 1.Coffee, tea, and soda consumption should be limited. 2.If the client is compliant, the relapse of symptoms will never occur. 3.Psychotropic medications may cause mild cardiovascular symptoms. 4.Most schizophrenic clients are able to taper off their medications eventually.

1.Coffee, tea, and soda consumption should be limited.

The nurse is planning relapse prevention information for a client diagnosed with schizophrenia. The nurse understands that it is important to ensure which primary intervention? 1.Including the client's support system in the teaching 2.Facilitating weekly maintenance therapy for the client 3.Having the client restate discharge goals and strategies 4.Stressing the importance of client compliance with the medication plan

1.Including the client's support system in the teaching

he nurse is planning relapse prevention information for a client diagnosed with schizophrenia. The nurse understands that it is important to ensure which primary intervention? 1.Including the client's support system in the teaching 2.Facilitating weekly maintenance therapy for the client 3.Having the client restate discharge goals and strategies 4.Stressing the importance of client compliance with the medication plan

1.Including the client's support system in the teaching Of the options provided, including the client's support system in the teaching has the greatest effect on relapse prevention management because it will provide the client with valuable support. Although the remaining options are helpful, they all focus on the client's having the resources and abilities to be self-managing and self-reflective.

Which client behavior is indicative of negative symptoms associated with schizophrenia? Select all that apply. 1.Verbal communication is almost nonexistent. 2.Gross motor skills are impacted by involuntary body movements. 3.The client needs frequent redirection because of short attention span. 4.Interpersonal relationships are negatively impacted because of delusional thoughts. 5.Conversations are difficult to follow because of demonstration of loose associations of thought.

1.Verbal communication is almost nonexistent. 3.The client needs frequent redirection because of short attention span.

The nurse caring for a client diagnosed with schizophrenia should include which interventions in the plan of care to assist in managing the client's concrete thinking? 1.Provide the client with written instructions regarding the routine of the unit. 2.Present verbal instructions regarding expectations in single, simple commands. 3.Assess the client's understanding of instructions by requiring restatement of expectations. 4.Incorporate family members in determining the emotional and physical needs of the client.

2.Present verbal instructions regarding expectations in single, simple commands.

The nurse is monitoring a client diagnosed with schizophrenia who demonstrates a dysfunctional affect. Which situation is congruent with inappropriate affect? 1.When told that a beloved pet has died, the client responds, "OK." 2.The client giggled while describing being physically abused as a child. 3.The client's facial expressions are unchanged during the entire admission process. 4.When staff members attempt to engage the client in conversation, the client only mumbles.

2.The client giggled while describing being physically abused as a child.

A client diagnosed with schizophrenia says to the nurse, "Will you protect me from the Grand Duchess?" and points to an older client who is sitting reading a book. Which statement is the therapeutic response by the nurse? 1."Where is she? I'll talk to her." 2."I can see no Grand Duchess. You will need to trust me on that." 3."You will be safe here. Your thinking will be clearer after your medication starts to work." 4."The Grand Duchess, huh? Well, I'm the Queen, and I will order her to stay away from you."

3."You will be safe here. Your thinking will be clearer after your medication starts to work."

The nurse is caring for a client diagnosed with schizophrenia who states, "I decided not to take my medication because I realize that it really can't help me. Only I can help me." Which question asked by the nurse has the best therapeutic value? 1."Why do you think this is a wise decision?" 2."I don't understand. Only you can help you?" 3."You've decided not to take your medication. Is that right?" 4."Do you recall what it was like before you started your medication?"

4."Do you recall what it was like before you started your medication?"

A clinic nurse is monitoring a client with anorexia nervosa. Which client statement should indicate to the nurse that treatment has been effective? 1."I'll eat until I don't feel hungry." 2."I no longer have a weight problem." 3."I don't want to starve myself anymore." 4."My friends and I went out to lunch today."

4."My friends and I went out to lunch today."

The mental health nurse notes that a client diagnosed with schizophrenia is exhibiting flat affect. Which situation supports this documentation? 1.During the entire family visit, the client presented with an expressionless, blank look. 2.The client demonstrated minimal response to the news that his discharge had been postponed. 3.The client grimaced during the entire therapy session that focused on finding one's personal joy. 4.During grief therapy, the client was observed laughing while another client described the death of a parent.

1.During the entire family visit, the client presented with an expressionless, blank look.

The history assessment of a client diagnosed with schizophrenia confirms a routine that includes smoking 2 packs of cigarettes and drinking 10 cups of coffee daily. Considering the assessment data, the nurse recognizes which as placing the client at most risk for injury? 1.Developing lung cancer and/or other respiratory disorders 2.Withdrawal symptoms triggering a stress-induced relapse 3.Diminishing the effectiveness of psychotropic medication 4.Developing gastrointestinal disorders, including bleeding ulcers

3.Diminishing the effectiveness of psychotropic medication

The nurse is caring for a client diagnosed with schizophrenia who states, "I decided not to take my medication because I realize that it really can't help me. Only I can help me." Which question asked by the nurse has the best therapeutic value? 1."Why do you think this is a wise decision?" 2."I don't understand. Only you can help you?" 3."You've decided not to take your medication. Is that right?" 4."Do you recall what it was like before you started your medication?"

4."Do you recall what it was like before you started your medication?" Noncompliance with antipsychotic medication is 1 of the chief reasons that clients with schizophrenia have relapses. The most therapeutic response is to initiate a conversation with the client directed toward discussing the disadvantages of being noncompliant. While it is therapeutic to use communication techniques like restating and clarification, it is not useful to this client since the intent of the behavior is already understood. Asking a "why" question is usually viewed as argumentative by the client and so is not therapeutic.

The nurse is administering risperidone to a client with schizophrenia who is scheduled to be discharged. Before discharge, which instruction should the nurse provide to the client? 1.Get adequate sunlight. 2.Continue driving as usual. 3.Avoid foods rich in potassium. 4.Get up slowly when changing positions.

4.Get up slowly when changing positions.